Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1996
NPI: 1679618490
Practice Locations (1)
MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB HEALTH SYSTEM
1001 BROCKS GAP PKWY, SUITE 101
HOOVER, AL 352444082
2054211032
Source: CMS National Downloadable File, September 2026.